Provider Demographics
NPI:1770578965
Name:PERRY, DENNIS JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JAMES
Last Name:PERRY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2270 JOLLY OAK RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-4528
Mailing Address - Country:US
Mailing Address - Phone:517-349-6140
Mailing Address - Fax:517-349-6216
Practice Address - Street 1:2270 JOLLY OAK RD
Practice Address - Street 2:SUITE 1
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-4528
Practice Address - Country:US
Practice Address - Phone:517-349-6140
Practice Address - Fax:517-349-6216
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2010-02-18
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Provider Licenses
StateLicense IDTaxonomies
MIDP052522207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4186985Medicaid
MI4186985Medicaid
MIA76618Medicare UPIN